Individual
KELLY M CHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1438 MILLAR ST, KETCHIKAN, AK 99901-6008
(907) 247-7355
Mailing address
1438 MILLAR ST, KETCHIKAN, AK 99901-6008
(907) 247-7355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AK842
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT68321
—
AK
Enumeration date
11/13/2006
Last updated
07/08/2007
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